Programme Health Check

Are you repeating NPfIT’s mistakes?

The NHS National Programme for IT cost over £12 billion and was ultimately dismantled. But the failure patterns that killed it are not unique to NPfIT.

They show up in programmes across government, healthcare, financial services, and enterprise IT. Often invisibly. Often too late.

This free diagnostic checklist helps you find out before it’s too late.

8Failure Factors

32Diagnostic Questions

10 minTo Complete

What’s in the checklist

A two-page scored assessment covering the 8 failure factors that brought down NPfIT, adapted into 32 practical questions you can run against your own programme today.

Each section maps directly to a documented NPfIT failure mode:

Scale & ComplexityIs your programme sized to succeed, or too big to fail?

Stakeholder EngagementWhen did end-users last influence a design decision?

Flexibility & AdaptabilityCan the solution adapt, or is it one-size-fits-all?

Technical DeliveryIs progress measured in working software or slide decks?

Cost & Schedule RealismAre milestones based on evidence or optimism?

Vendor & Supply ChainCould you survive a key vendor failing to deliver?

Governance & LeadershipDoes your board decide, or just receive updates?

Data, Privacy & TrustDo your users actually trust the programme with their data?

Your total score maps to a risk rating from Low to Critical, with clear guidance on what to do next.

Who this is for

Programme directors, SROs, delivery managers, assurance leads, and anyone responsible for a programme that feels like it might be drifting.

10 minutes to completeNo jargonNo consultancy pitch

Download the checklist

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